ArticleArthroplasty today2026
Is It the Trunnion or Is It the Liner? Investigating Bilateral Dual-Mobility Constructs With Different Inner Femoral Head Compositions.
Article in Arthroplasty today, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
7 authors.
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Abstract
Dual-mobility designs aim to reduce dislocation with a dual head, creating a larger effective head size. However, concerns exist regarding corrosion from dissimilar metal interfaces. An 80-year-old female patient exhibited elevated cobalt (2.6 μg/L) and titanium (7.8 μg/L) but normal chromium (1.2 μg/L) levels after 5 years. She had staged bilateral total hip arthroplasty with identical modular liners, a 22 mm cobalt-chrome and a 28 mm ceramic head in the left and right hips, respectively. Magnetic resonance imaging showed left-sided ALTR. At revision, the trunnion and head showed gross corrosion. Biomechanical analysis confirmed trunnionosis of the 22-mm cobalt-chrome head without liner corrosion, suggesting dual mobility may increase the risk for trunnionosis at this size. This case highlights cobalt-chrome head risks and identifies trunnion corrosion as a cause of metallosis.
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